Guy O Danielson Iii, M.D., P.A.

LBN: Guy O Danielson Iii, M.D., P.A.
Guy O Danielson Iii, M.D., P.A. is an health care organization with primary practice located at 1814 Roseland Blvd Suite 200, Tyler TX 75701-4234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Guy O Danielson Iii, M.D., P.A. can be contacted via phone (903) 595-8077, or through Danielson, Guy O via phone (903) 595-8077.

Contact Information

Primary practice address
1814 Roseland Blvd Suite 200 Tyler TX 75701-4234
Phone: (903) 595-8077
Fax: (903) 363-1541
Website:
Map and Directions
Authorized official contact:
Name: Danielson, Guy O Doctor of Medicine (MD)
Phone: (903) 595-8077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1588773345
LBN Legal business name Guy O Danielson Iii, M.D., P.A.
DBA Doing business as
Authorized official Danielson, Guy O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588773345 NPPES
Other 0031KV BLUE CROSS BLUE SHIELD
MEDICAID 168693301 BLUE CROSS BLUE SHIELD

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